MR. BENJAMIN I CONNOR (NPI# 1245210129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245210129 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN I CONNOR |
| Credential | R-PA |
| Practice Address |
2700 Court St Syracuse NY 13208-3295 |
| Practice Telephone | 3154557610 |
| Mailing Telephone | 3154557610 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
011039-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02729197 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396972501 | Benjamin Jeffrey Connor | Dentist | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2009-06-15 |
| Street Address |
2700 COURT ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13208-3295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649349671 | Steven Charles Stacey | Dentist | 2700 Court St, Syracuse, NY 13208-3295 | 2006-11-06 |
| 1558452748 | Rosario F Laguzza | Dentist | 2700 Court St, Syracuse, NY 13208-3295 | 2006-09-27 |
| 1649297391 | Raymond A Jannetti | Anesthesiology | 2700 Court St, Syracuse, NY 13208-3295 | 2006-07-17 |
| 1073539458 | Theodore G Dalakos | Internal Medicine | 2700 Court St, Syracuse, NY 13208-3295 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736040 | M&a Mobilityllc | Non-emergency Medical Transport (VAN) | 1611 Lodi St, Syracuse, NY 13208 | 2016-08-28 |
| 1053655472 | Navid Rashidi Keikanloo | Dentist | 2800 Court St, Syracuse, NY 13208 | 2012-11-26 |
| 1801163399 | Kathleen Ann Troicke | Registered Nurse | 923 North Mcbride Street, Cathedral Academy At Pompei School, Syracuse, NY 13208 | 2011-11-28 |
| 1194016469 | Sharon Walsh Costello | Registered Nurse | 110 Second North Street, Apt 17, Syracuse, NY 13208 | 2011-04-21 |
| 1396058749 | Rebecca Lynn Martin | Licensed Practical Nurse | 102 Hamden Drive, Syracuse, NY 13208 | 2010-07-14 |
| 1730358045 | Tiffany Mckinney | Technician/Technologist | 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 | 2008-02-21 |
| 1871794594 | Edward Louis Defuria | Dentist | 2800 Court Street, Syracuse, NY 13208 | 2007-05-30 |
| 1912092354 | Karen Ev Fallon | Physical Therapist | 1603 Court Street, Syracuse, NY 13208 | 2006-10-03 |
| 1245346147 | Christian Haglund Woodhead | Dentist | 801 N. Salina St., Syracuse, NY 13208 | 2006-08-22 |
| 1619994167 | Judith Ann Falk | Social Worker | 1118 Court St, Syracuse, NY 13208 | 2006-07-17 |
| Find all providers in zip 13208 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1760043574 | Colin Michael King | Physician Assistant | 135 Somerset Rd, Syracuse, NY 13224-1961 | 2019-06-24 |
| 1346657251 | Jessica Lynn Demauro | Physician Assistant | 111 Waverly Avenue, Syracuse, NY 13244 | 2014-07-14 |
| 1982664876 | Vincent M. Gemelli | Physician Assistant | 1304 Buckley Road, Suite 302, Syracuse, NY 13212-4318 | 2006-03-24 |
| 1326020033 | Michelle Margaret Ederer | Physician Assistant | 3504 W Genesee St, Syracuse, NY 13219-2008 | 2005-11-17 |
| 1689672230 | Robert D Kirk | Physician Assistant | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2005-07-08 |
| 1992702278 | Michael P Sharak | Physician Assistant | 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 | 2005-07-01 |
| 1568022853 | Chelsea Clareann Yager | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2019-06-18 |
| 1104308253 | Diana Maria Ramirez | Physician Assistant | 750 E Adams St, Syracuse, NY 13210-2306 | 2018-09-05 |
| 1194207241 | Rebekah Schu | Physician Assistant | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2018-09-05 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on MR. BENJAMIN I CONNOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.